Notification of Changes for Business Entity
General Information
Business Entity Name:	BADER COMPANY
Incorporation / Formation Date:	06/03/1992
FEIN:	35-1858026
Ohio License Number:	27352
NPN:	3122916
DBA / Trade Name:
State of Domicile:	IN
County:	MARION
Business Address
Address 1:	8425 WOODFIELD CROSSING BLVD., STE 200
Address 2:
City:	INDIANAPOLIS
State:	IN
Zip:	46240
Phone:	317-706-6062
Fax:
Business Web Site Address:
Business Email Address:	ADUVALL@BADERCO.NET
Mailing Address
Address 1:	8425 WOODFIELD CROSSING BLVD., STE 200
Address 2:
City:	INDIANAPOLIS
State:	IN
Zip:	46240
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	YES

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
CARLOUS TIMOTHY NORMAN PARNELL	RDA	5819003	YES		4/1/16
CARLOUS TIMOTHY NORMAN PARNELL	AGENT	5819003	YES		4/1/16
JOSHUA M. NICHOLSON	RDA	8180440		YES	4/1/16
JOSHUA M. NICHOLSON	AGENT	8180440		YES	4/1/16
DANIEL J. REGO	AGENT	14319918		YES	3/30/16
DAVID TURNER BRASHEAR	AGENT	16467064		YES	3/30/16
DEANA LEE THOMPASON	AGENT	8070388		YES	3/30/16
TYRECE LEROY BUTLER	AGENT	16973200		YES	3/30/16

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)	NO
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?	NO
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	ANA LISA ALONZO-DUVALL
Title:	VP RISK MANAGEMENT
Phone Number:	317-706-6062
Email Address:	ADUVALL@BADERCO.NET